Only nurses who are trained, competent, and permitted by scope of practice and facility policy may provide IV/PICC/midline care.
Nurse Responsibilities
- Verify order, medication/fluid, rate, compatibility, route, frequency, and monitoring parameters.
- Assess site for redness, swelling, pain, drainage, leaking, warmth, infiltration, phlebitis, bleeding, or dressing disruption.
- Maintain aseptic technique.
- Follow facility policy for flushing, dressing changes, cap changes, tubing changes, blood draws, and medication administration.
- Monitor for allergic reaction, fluid overload, infection, line occlusion, and adverse medication reaction.
- Document site assessment, infusion, resident response, and communication.
Competency
IV pump use, line assessment, dressing observation, flushing per policy, medication administration process, complication recognition, and documentation.